Organization Active NPI

New Mexico Medical Cardiology LLC

  • Cardiovascular Disease Physician
  • Las Cruces, NM
National Provider Identifier
1124433388
Registry record updated Jun 26, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
MD2013-0055 Issued in NM
Legal business name
NEW MEXICO MEDICAL CARDIOLOGY LLC
Practice address
2930 Hillrise Dr
Ste. 2
Las Cruces, NM 88011-4776
Phone
(575) 532-1111
NPI assigned
Jun 26, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Azim Saquib, M.D.
Title
Owner
Phone
(480) 707-1648

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RC0000X MD2013-0055 NM Primary

Addresses

Primary practice location

2930 Hillrise Dr
Ste. 2
Las Cruces, NM 88011-4776

Mailing address

205 W Boutz Rd
BLDG #1
Las Cruces, NM 88005-3259
Phone (575) 532-7000

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1403740800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1403740800000",
    "number": "1124433388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 W BOUTZ RD",
            "address_2": "BLDG #1",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880053259",
            "telephone_number": "575-532-7000",
            "fax_number": "575-532-7111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2930 HILLRISE DR",
            "address_2": "STE. 2",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880114776",
            "telephone_number": "575-532-1111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW MEXICO MEDICAL CARDIOLOGY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-26",
        "last_updated": "2014-06-26",
        "status": "A",
        "authorized_official_last_name": "SAQUIB",
        "authorized_official_first_name": "AZIM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-707-1648",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NM",
            "license": "MD2013-0055",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Cruces, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.